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Active NPI 1538936489 Individual Practitioner Female Practitioner

Laura Elizabeth Clark , LPN

Licensed Practical Nurse • Kelso, WA

Professional Overview & Biography Verified Profile Summary

Laura Clark, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Kelso, WA. Practice services are available at 305 PACIFIC AVE S STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 Pacific Ave S Ste C

Kelso, WA 986261638

Telephone 3606441047
Associated Practice Facility / Clinic
🏢 Wchs Inc Facility NPI 1457860959

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Kelso, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Kelso, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-10
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP61013657

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Carrera Hobson

Licensed Practical Nurse

NPI 1194485730
Sydney Wolfe

Counselor - Addiction (Substance Use Disorder)

NPI 1407691462
Sara Marin

Licensed Practical Nurse

NPI 1770393860
Janet Greenslade , PA

Physician Assistant

NPI 1891263323

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2023

Registered at 305 PACIFIC AVE S STE C, KELSO, WA 986261638 (Tel: 3606441047)

📍
Updated Business Mailing Address December 11, 2023

Registered at 18458 POTTER RD, CLATSKANIE, OR 970162119 (Tel: 5033963737)

👤
Provider Name / Credentials Updated December 11, 2023

Recorded as LAURA CLARK, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2023

Licensed Practical Nurse (License #LP61013657 in WA)

🟢
Initial NPI Registration & Enumeration December 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538936489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2023
Last Update: December 11, 2023
Sole Proprietor: No

Mailing Address

18458 Potter Rd

Clatskanie, OR 970162119

Phone: 5033963737

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.